Daniel Stephen Anderson, DPT | |
12651 Se Lincoln St, Portland, OR 97233-1370 | |
(425) 891-3538 | |
Not Available |
Full Name | Daniel Stephen Anderson |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 12651 Se Lincoln St, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205105202 | NPI | - | NPPES |
1205105202 | Medicaid | WA | |
G8968737 | Other | WA | MEDICARE |
P01153274 | Other | OR | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 65098 (Oregon) | Primary |
225100000X | Physical Therapist | PT60257881 (Washington) | Secondary |
Provider Name | Powerback Rehabilitation Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1184205056 PECOS PAC ID: 2365359932 Enrollment ID: O20140910001015 |
Provider Name | Oregon Luna Care Physical Therapy Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1891397121 PECOS PAC ID: 5597178087 Enrollment ID: O20201229003062 |
Mailing Address | Practice Location Address |
---|---|
Daniel Stephen Anderson, DPT 12651 Se Lincoln St, Portland, OR 97233-1370 Ph: (425) 891-3538 | Daniel Stephen Anderson, DPT 12651 Se Lincoln St, Portland, OR 97233-1370 Ph: (425) 891-3538 |
Jonathan Rex Gustavson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3426 Ne 62nd Ave, Portland, OR 97213 Phone: 503-312-3443 | |
Ms. Ruth A Hurst, P.T., G.C.F.P. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7721 Sw 34th Ave, Portland, OR 97219 Phone: 503-452-7767 | |
Ms. Molly Anne Bredenberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5050 Ne Hoyt St, Portland, OR 97213 Phone: 503-215-0424 | |
David Genco Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 319 Ne Russet St, Portland, OR 97211 Phone: 503-289-5571 | |
Jenna Valentine, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9204 Se Mitchell St, Portland, OR 97266 Phone: 503-777-6746 | |
Ariel Witkin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Nw 18th Ave Ste 400, Portland, OR 97209 Phone: 503-228-1306 Fax: 503-228-1307 | |
Brian Carper, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 N Graham St Ste 430, Portland, OR 97227 Phone: 503-413-1500 |